Baroreflex Sensitivity and Power Spectral Analysis During Autonomic Testing in Different Extrapyramidal Syndromes
Identifieur interne : 002083 ( PascalFrancis/Curation ); précédent : 002082; suivant : 002084Baroreflex Sensitivity and Power Spectral Analysis During Autonomic Testing in Different Extrapyramidal Syndromes
Auteurs : Constanze Friedrich [Allemagne] ; Heinz Rüdiger [Allemagne] ; Claudia Schmidt [Allemagne] ; Birgit Herting [Allemagne] ; Silke Prieur [Allemagne] ; Susann Junghanns [Allemagne] ; Katherine Schweitzer [Allemagne] ; Christoph Globas [Allemagne] ; Ludger Schöls [Allemagne] ; Daniela Berg [Allemagne] ; Heinz Reichmann [Allemagne] ; Tjalf Ziemssen [Allemagne]Source :
- Movement disorders [ 0885-3185 ] ; 2010.
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Abstract
Autonomic dysfunction has been frequently demonstrated in patients with extrapyramidal diseases by cardiovascular autonomic testing. In addition to classical testing, we applied the more detailed baroreflex and spectral analysis on three traditional cardiovascular tests in this study to get additional information on autonomic outflow. We recorded continuously blood pressure, electrocardiogram, and respiration in 35 patients with multiple system atrophy, 32 patients with progressive supranuclear palsy, 46 patients with idiopathic Parkinson's disease and in 27 corresponding healthy subjects during cardiovascular autonomic testing (metronomic breathing, Valsalva manoeuvre, head-up tilt). Baroreflex and spectral analyses were performed by using trigonometric regressive spectral analysis between and during the manoeuvres. Consistent with previous interpretations, our data showed an increase of sympathetic activity in head-up tilt and Valsalva test in healthy controls. This sympathetic activity was significantly decreased in patients with typical and atypical Parkinson syndromes. Significant modulation of baroreflex activity could be observed especially during metronomic breathing; again it was significantly lower in all patient groups. Baroreflex and spectral parameters could not only differentiate between patients and healthy controls, but also differentiate between clinically symptomatic (with autonomic dysfunction as eg. orthostatic hypotension) and asymptomatic patients. In conclusion, our approach allows the evaluation of autonomic variability during short and nonstationary periods of time and may constitute a useful advance in the assessment of autonomic function in both physiological and pathological conditions.
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aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Schols, Ludger" sort="Schols, Ludger" uniqKey="Schols L" first="Ludger" last="Schöls">Ludger Schöls</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Center of Neurology, Department of Neurodegeneration and Hertie-Institute for Clinical Brain Research, University of Tübingen</s1><s3>DEU</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Berg, Daniela" sort="Berg, Daniela" uniqKey="Berg D" first="Daniela" last="Berg">Daniela Berg</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Center of Neurology, Department of Neurodegeneration and Hertie-Institute for Clinical Brain Research, University of Tübingen</s1><s3>DEU</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Reichmann, Heinz" sort="Reichmann, Heinz" uniqKey="Reichmann H" first="Heinz" last="Reichmann">Heinz Reichmann</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Movement Disorders Research Group, Department of Neurology, University Clinic Carl Gustav Carus, Dresden University of Technology</s1><s3>DEU</s3><sZ>4 aut.</sZ><sZ>6 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Ziemssen, Tjalf" sort="Ziemssen, Tjalf" uniqKey="Ziemssen T" first="Tjalf" last="Ziemssen">Tjalf Ziemssen</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Autonomic and Neuroendocrinological Laboratory, University Clinic Carl Gustav Carus, Dresden University of Technology</s1><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">10-0161556</idno><date when="2010">2010</date><idno type="stanalyst">PASCAL 10-0161556 INIST</idno><idno type="RBID">Pascal:10-0161556</idno><idno type="wicri:Area/PascalFrancis/Corpus">000C36</idno><idno type="wicri:Area/PascalFrancis/Curation">002083</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Baroreflex Sensitivity and Power Spectral Analysis During Autonomic Testing in Different Extrapyramidal Syndromes</title><author><name sortKey="Friedrich, Constanze" sort="Friedrich, Constanze" uniqKey="Friedrich C" first="Constanze" last="Friedrich">Constanze Friedrich</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Autonomic and Neuroendocrinological Laboratory, University Clinic Carl Gustav Carus, Dresden University of Technology</s1><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Rudiger, Heinz" sort="Rudiger, Heinz" uniqKey="Rudiger H" first="Heinz" last="Rüdiger">Heinz Rüdiger</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Autonomic and Neuroendocrinological Laboratory, University Clinic Carl Gustav Carus, Dresden University of Technology</s1><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Schmidt, Claudia" sort="Schmidt, Claudia" uniqKey="Schmidt C" first="Claudia" last="Schmidt">Claudia Schmidt</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Autonomic and Neuroendocrinological Laboratory, University Clinic Carl Gustav Carus, Dresden University of Technology</s1><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Herting, Birgit" sort="Herting, Birgit" uniqKey="Herting B" first="Birgit" last="Herting">Birgit Herting</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Movement Disorders Research Group, Department of Neurology, University Clinic Carl Gustav Carus, Dresden University of Technology</s1><s3>DEU</s3><sZ>4 aut.</sZ><sZ>6 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Prieur, Silke" sort="Prieur, Silke" uniqKey="Prieur S" first="Silke" last="Prieur">Silke Prieur</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Autonomic and Neuroendocrinological Laboratory, University Clinic Carl Gustav Carus, Dresden University of Technology</s1><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Junghanns, Susann" sort="Junghanns, Susann" uniqKey="Junghanns S" first="Susann" last="Junghanns">Susann Junghanns</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Movement Disorders Research Group, Department of Neurology, University Clinic Carl Gustav Carus, Dresden University of Technology</s1><s3>DEU</s3><sZ>4 aut.</sZ><sZ>6 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Schweitzer, Katherine" sort="Schweitzer, Katherine" uniqKey="Schweitzer K" first="Katherine" last="Schweitzer">Katherine Schweitzer</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Center of Neurology, Department of Neurodegeneration and Hertie-Institute for Clinical Brain Research, University of Tübingen</s1><s3>DEU</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Globas, Christoph" sort="Globas, Christoph" uniqKey="Globas C" first="Christoph" last="Globas">Christoph Globas</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Center of Neurology, Department of Neurodegeneration and Hertie-Institute for Clinical Brain Research, University of Tübingen</s1><s3>DEU</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Schols, Ludger" sort="Schols, Ludger" uniqKey="Schols L" first="Ludger" last="Schöls">Ludger Schöls</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Center of Neurology, Department of Neurodegeneration and Hertie-Institute for Clinical Brain Research, University of Tübingen</s1><s3>DEU</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Berg, Daniela" sort="Berg, Daniela" uniqKey="Berg D" first="Daniela" last="Berg">Daniela Berg</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Center of Neurology, Department of Neurodegeneration and Hertie-Institute for Clinical Brain Research, University of Tübingen</s1><s3>DEU</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Reichmann, Heinz" sort="Reichmann, Heinz" uniqKey="Reichmann H" first="Heinz" last="Reichmann">Heinz Reichmann</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Movement Disorders Research Group, Department of Neurology, University Clinic Carl Gustav Carus, Dresden University of Technology</s1><s3>DEU</s3><sZ>4 aut.</sZ><sZ>6 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Ziemssen, Tjalf" sort="Ziemssen, Tjalf" uniqKey="Ziemssen T" first="Tjalf" last="Ziemssen">Tjalf Ziemssen</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Autonomic and Neuroendocrinological Laboratory, University Clinic Carl Gustav Carus, Dresden University of Technology</s1><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Baroreflex</term><term>Dysfunction</term><term>Extrapyramidal syndrome</term><term>Nervous system diseases</term><term>Power spectrum</term><term>Sensitivity analysis</term><term>Spectral analysis</term><term>Spectral sensitivity</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Syndrome extrapyramidal</term><term>Pathologie du système nerveux</term><term>Baroréflexe</term><term>Analyse sensibilité</term><term>Sensibilité spectrale</term><term>Spectre puissance</term><term>Analyse spectrale</term><term>Trouble fonctionnel</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Autonomic dysfunction has been frequently demonstrated in patients with extrapyramidal diseases by cardiovascular autonomic testing. In addition to classical testing, we applied the more detailed baroreflex and spectral analysis on three traditional cardiovascular tests in this study to get additional information on autonomic outflow. We recorded continuously blood pressure, electrocardiogram, and respiration in 35 patients with multiple system atrophy, 32 patients with progressive supranuclear palsy, 46 patients with idiopathic Parkinson's disease and in 27 corresponding healthy subjects during cardiovascular autonomic testing (metronomic breathing, Valsalva manoeuvre, head-up tilt). Baroreflex and spectral analyses were performed by using trigonometric regressive spectral analysis between and during the manoeuvres. Consistent with previous interpretations, our data showed an increase of sympathetic activity in head-up tilt and Valsalva test in healthy controls. This sympathetic activity was significantly decreased in patients with typical and atypical Parkinson syndromes. Significant modulation of baroreflex activity could be observed especially during metronomic breathing; again it was significantly lower in all patient groups. Baroreflex and spectral parameters could not only differentiate between patients and healthy controls, but also differentiate between clinically symptomatic (with autonomic dysfunction as eg. orthostatic hypotension) and asymptomatic patients. In conclusion, our approach allows the evaluation of autonomic variability during short and nonstationary periods of time and may constitute a useful advance in the assessment of autonomic function in both physiological and pathological conditions.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0885-3185</s0></fA01><fA03 i2="1"><s0>Mov. disord.</s0></fA03><fA05><s2>25</s2></fA05><fA06><s2>3</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Baroreflex Sensitivity and Power Spectral Analysis During Autonomic Testing in Different Extrapyramidal Syndromes</s1></fA08><fA11 i1="01" i2="1"><s1>FRIEDRICH (Constanze)</s1></fA11><fA11 i1="02" i2="1"><s1>RÜDIGER (Heinz)</s1></fA11><fA11 i1="03" i2="1"><s1>SCHMIDT (Claudia)</s1></fA11><fA11 i1="04" i2="1"><s1>HERTING (Birgit)</s1></fA11><fA11 i1="05" i2="1"><s1>PRIEUR (Silke)</s1></fA11><fA11 i1="06" i2="1"><s1>JUNGHANNS (Susann)</s1></fA11><fA11 i1="07" i2="1"><s1>SCHWEITZER (Katherine)</s1></fA11><fA11 i1="08" i2="1"><s1>GLOBAS (Christoph)</s1></fA11><fA11 i1="09" i2="1"><s1>SCHÖLS (Ludger)</s1></fA11><fA11 i1="10" i2="1"><s1>BERG (Daniela)</s1></fA11><fA11 i1="11" i2="1"><s1>REICHMANN (Heinz)</s1></fA11><fA11 i1="12" i2="1"><s1>ZIEMSSEN (Tjalf)</s1></fA11><fA14 i1="01"><s1>Autonomic and Neuroendocrinological Laboratory, University Clinic Carl Gustav Carus, Dresden University of Technology</s1><s3>DEU</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>12 aut.</sZ></fA14><fA14 i1="02"><s1>Movement Disorders Research Group, Department of Neurology, University Clinic Carl Gustav Carus, Dresden University of Technology</s1><s3>DEU</s3><sZ>4 aut.</sZ><sZ>6 aut.</sZ><sZ>11 aut.</sZ></fA14><fA14 i1="03"><s1>Center of Neurology, Department of Neurodegeneration and Hertie-Institute for Clinical Brain Research, University of Tübingen</s1><s3>DEU</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></fA14><fA20><s1>315-324</s1></fA20><fA21><s1>2010</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20953</s2><s5>354000181820230090</s5></fA43><fA44><s0>0000</s0><s1>© 2010 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>25 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>10-0161556</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Movement disorders</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>Autonomic dysfunction has been frequently demonstrated in patients with extrapyramidal diseases by cardiovascular autonomic testing. In addition to classical testing, we applied the more detailed baroreflex and spectral analysis on three traditional cardiovascular tests in this study to get additional information on autonomic outflow. We recorded continuously blood pressure, electrocardiogram, and respiration in 35 patients with multiple system atrophy, 32 patients with progressive supranuclear palsy, 46 patients with idiopathic Parkinson's disease and in 27 corresponding healthy subjects during cardiovascular autonomic testing (metronomic breathing, Valsalva manoeuvre, head-up tilt). Baroreflex and spectral analyses were performed by using trigonometric regressive spectral analysis between and during the manoeuvres. Consistent with previous interpretations, our data showed an increase of sympathetic activity in head-up tilt and Valsalva test in healthy controls. This sympathetic activity was significantly decreased in patients with typical and atypical Parkinson syndromes. Significant modulation of baroreflex activity could be observed especially during metronomic breathing; again it was significantly lower in all patient groups. Baroreflex and spectral parameters could not only differentiate between patients and healthy controls, but also differentiate between clinically symptomatic (with autonomic dysfunction as eg. orthostatic hypotension) and asymptomatic patients. In conclusion, our approach allows the evaluation of autonomic variability during short and nonstationary periods of time and may constitute a useful advance in the assessment of autonomic function in both physiological and pathological conditions.</s0></fC01><fC02 i1="01" i2="X"><s0>002B17</s0></fC02><fC02 i1="02" i2="X"><s0>002B17D</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Syndrome extrapyramidal</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Pathologie du système nerveux</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Nervous system diseases</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Sistema nervioso patología</s0><s5>02</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Baroréflexe</s0><s5>09</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Baroreflex</s0><s5>09</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Barorreflejo</s0><s5>09</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Analyse sensibilité</s0><s5>10</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Sensitivity analysis</s0><s5>10</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Análisis sensibilidad</s0><s5>10</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Sensibilité spectrale</s0><s5>11</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Spectral sensitivity</s0><s5>11</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Sensibilidad espectral</s0><s5>11</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Spectre puissance</s0><s5>12</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Power spectrum</s0><s5>12</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Espectro potencia</s0><s5>12</s5></fC03><fC03 i1="07" i2="X" l="FRE"><s0>Analyse spectrale</s0><s5>13</s5></fC03><fC03 i1="07" i2="X" l="ENG"><s0>Spectral analysis</s0><s5>13</s5></fC03><fC03 i1="07" i2="X" l="SPA"><s0>Análisis espectral</s0><s5>13</s5></fC03><fC03 i1="08" i2="X" l="FRE"><s0>Trouble fonctionnel</s0><s5>14</s5></fC03><fC03 i1="08" i2="X" l="ENG"><s0>Dysfunction</s0><s5>14</s5></fC03><fC03 i1="08" i2="X" l="SPA"><s0>Trastorno funcional</s0><s5>14</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Pathologie de l'encéphale</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Cerebral disorder</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Encéfalo patología</s0><s5>37</s5></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Pathologie du système nerveux central</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Central nervous system disease</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0><s5>38</s5></fC07><fN21><s1>102</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard></inist></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Baroreflex Sensitivity and Power Spectral Analysis During Autonomic Testing in Different Extrapyramidal Syndromes
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